Escolar Documentos
Profissional Documentos
Cultura Documentos
Registration No:
(For Office use Only)
Paste your
self attested latest
photograph
02/ 111/2015
Dated 28 February 2015
Last Date of Receipt of
Application Form:
30th March 2015
(Please circle)
Category Legend:
SC
SCW
ST
OBCW
Schedule Caste
Schedule Caste Women
Schedule Tribe
Other Backward Castes Woman
OBC
URW
UR
URPWD
Amount
Page 1 of 16
(a) Name
(in capital letters)
(b) Date of Birth
Day
Month
c) Fathers Name
d) Mothers Name
e) State of domicile
f) Nationality
g) Gender
h) Religion
i) Marital Status
j) If physically challenged
(attach relevant certificate
of disability)
(Male / Female)
Middle Name
Year
Surname
Years
Months
(Married/ Unmarried)
k) Address of
correspondence
E-mail:
Mobile number:
Telephone no. with STD
Code
Fax
7. Educational Qualifications (Class XII onwards) (attach additional pages if required)
S.N. Certificate/Degree
Name of the
Board/
University
Month &
Year
Passed
% Marks/
Division OGPA/
CGPA
Subjects
studied
Sl. No. of
proof/
documents
enclosed
1.
2.
3.
4.
5.
6.
Page 2 of 16
Yes
No
Yes
No
No
Post held/
Designation
Nature of
Employment
*
Name &
Address of the
Employer/
Institution #
Last Salary
drawnPay Band and
AGP
Period of
Employment
5
from
to
No. of
Years/
Months
Nature of
Work/Duties
Sl. No.
of proof/
documen
ts
enclosed
8
Present Position
Designation
Name of the
Institution
Nature of
Institution #
Pay Band
and AGP
Gross
Pay/Total
Salary Per
Month (in Rs.)
Sl No. of
proof
/documents
Enclosed
Page 3 of 16
Sl No. of proof/documents
Enclosed
13.
Publications, if any (Mention here only numbers. Please enclose details- Title, Publisher, Year
of Publication, ISBN No. ISSN No., etc. in a separate page)
Published
(No.)
Publications
ISBN/
ISSN No.
Accepted/
In Print
(No.)
Communicated
(other than
published/
Accepted)
Sl No. of
proof/documents
Enclosed
Books
Books (as co-author)
Books (edited)
Chapter in Books
Research Papers
Articles
Conference Proceedings
Other
Publications/Patents
(specify)
14. Seminars/Conferences etc.
Details
In India (No.)
Abroad
(No.)
Sl. No. of
proof/documents
Enclosed
Seminars/Conferences/Workshops/Symposium
/Training Programmes etc. Organised
Seminars/Conferences/Workshops/Symposium/T
raining Programmes etc. participated as Paper
Contributor/Presenter
Seminars/Conferences/Workshops/Symposium/T
raining Programmes etc. attended only
Page 4 of 16
16.
Annual
Membership
Membership
No.
Sl No. of
proof/documents
Enclosed
17.
Life
Membership
M.Phil.
(No.)
Ph.D. (No.)
Sl. No. of
proof/documents
Enclosed
Subject /Topic
of Research
Major
or
minor
Date of Date of
Commen Comple
cement
tion
Total
Grants/
fund
received
(in Rs)
Funding
Agency
Whether
outcome/
outputs sent
to sponsoring
agency
Whether the
final report
accepted by
the agency
Sl. No. of
proof/
documents
Enclosed
18. References (Please give three references which are not your relatives)
Referee-1 (Present
Employer)
Referee-2
Referee-3
E-Mail
Phone/Cell
Page 5 of 16
20.
Total No. of self attested testimonials attached (Applications without self attested testimonials
will not be entertained)
Page 6 of 16
Designation: ----------------------------------------------------E-mail:
Phone Fax
Place: ------------------------------------------------------------Date: ---------------------------------------------------------------
Page 7 of 16
Note 1 : If there are more than one author of research paper/ PI and Co-PI in A Research Project the
points will be shared as follows:
Of the total score for the relevant category of Publication/Project by the concerned teacher, the First/
Principal author and the corresponding author/ supervisor/ mentor of the teacher/PI would share equally
60% of the total points and the remaining 40% would be shared equally by all other authors.
Note 2: The API( Score for paper in refereed journals would be augmented as follows:
(i)
(ii)
(iii)
(iv)
Page 8 of 16
(Annexure I)
1. Refereed Journals
with ISBN/ISSN
Numbers (Attach a
list of Publications in
Annexure I)#
1. Refereed Journals
15/
with ISBN/ISSN
Publication
Numbers (Attach a list
of Publications in
Annexure I)#
2. Non-Refereed but
recognized and
reputable Journals and
periodicals having
ISBN/ISSN Numbers
(Attach a list of
Publications in
Annexure II)
2. Non-Refereed but
recognized and
reputable Journals and
periodicals having
ISBN/ISSN Numbers
(Attach a list of
Publications in
Annexure II)
10/
Publication
3. Conference
Proceedings as Full
Papers, etc. (Abstract
not to be included)
(Attach a
list of Publications in
Annexure III)
3. Conference
Proceedings as Full
Papers, etc. (Abstract
not to be included)
(Attach a
list of Publications in
Annexure III)
10/
Publication
Score
verified by
Screening
Committee
TOTAL
________________________
(Signature of the Candidate)
Page 9 of 16
III B.
Faculties of
Engineering/
Agriculture/ Veterinary/
Medical Sciences/
Science
Text or Reference
Books/ Journals
published by
International Publishers
with an established peer
review system (Attach a
list of Publications in
Annexure IV)
Subject Books/ Journals
by National level
publishers/ State and
Central Govt.
Publications with ISBN/
ISSN numbers. (Attach
a list of Publications in
Annexure V)
Subject Books by Other
local publishers with
ISBN/ ISSN
numbers(Attach a list of
Publications in
Annexure VI).
Chapters contributed to
edited knowledge based
volumes published by
International Publishers.
(Attach a list of
Publications in
Annexure VII)
Chapters in knowledge
based volumes by
Indian/ National level
publishers with ISBN/
ISSN numbers and with
numbers of national and
International
directories(Attach a list
of Publications in
Annexure VIII)
Maximum
Points
No of
Self Score verified by
Research Assessed
Screening
Papers
Score
Committee
50/ sole
author,
20/ Editor
10/ chapter in
an edited book
25/sole author
10/Editor
5/chapter in
edited books
15/sole author
6/Editor
3/chapter in
edited book
10/Chapter
5/ Chapter
TOTAL
________________________
(Signature of the Candidate)
RESEARCH PROJECTS
Faculties of
Engineering/
Agriculture/
Veterinary/ Medical
Sciences/ Science
(a) Major Projects
amount mobilized
with grants above
30.0 lakhs. (Attach a
list in Annexure IX)
Faculties of
Languages/ Arts/
Humanities/ Social
Sciences/Library/Man
agement
Major Projects amount
mobilized with grants
above 5.0 lakhs.
(Attach a list in
Annexure IX)
15/each
Project
Minor Projects
(Amount mobilized
with grant above
25,000 thousands upto
3 lakhs) (Attach a list
in Annexure XI).
10/each
Project
(ii)Consultan
cy Projects
carried out/
ongoing@
Amount mobilized
with minimum of
Rs.10.00 lakh(Attach
a list in Annexure
XII).
Amount mobilized
with minimum of
Rs.2.00 lakh. (Attach
a list in Annexure
XII)
10/each
(iii)Complete
d projects
Quality
Evaluation@
Completed project
Report
Completed project
report (Accepted by
funding agency).
(Attach a list in
Annexure XIII)
20/each
major
project
and
10/each
minor
project
(iv) Project
Outcome/
Output
Patent/ Technology
transfer/Product/Proc
ess. (Attach a list in
Annexure XIV)
Major Policy
document of Govt.
Bodies at Central and
State level. (Attach a
list in Annexure
XIV).
30/each
national
level
output or
patent/
50/ each
for
Internatio
nal level
Type,
Progress and
Outputs of
Projects
(i)
Sponsored
Projects
carried out/
ongoing@
(Acceptance from
funding agency).
(Attach a list in
Annexure XIII)
Maximu
m Points
Score
No of
Self
verified by
Research Assesse
Screening
Papers
d Score
Committee
20/each
Project
2/each
TOTAL
@ Enclose a copy of the letter received from the Funding Agencies/Sponsor, approving/sanctioning
the Project giving the Amount Sanctioned and Tenure of the Project.
________________________
(Signature of the Candidate)
Contd. next page
Page 11 of 16
III (D):
Degree
(i) M.Phil.@
Faculties of
Engineering/
Agriculture/
Veterinary/ Medical
Sciences/ Science
M.Phil./M.Tech/M.Ph
arm/ MD/ MS/
MDS/DNB/LLM
Research Guidance
Faculties of
Languages/ Arts/
Humanities/ Social
Sciences/Library/
Management
Degree awarded only
Degree awarded
(ii) Ph.D.@
Ph.D.
Thesis Submitted
Maximum
Points
Self
Assessed
Score
Score
verified by
Screening
Committee
Degree
awarded
only:3
Degree
awarded:10
Thesis
Submitted:7
TOTAL
@ For Joint supervision the score shall be equally divided
________________________
(Signature of the Candidate)
Page 12 of 16
APIs
Faculties of Engineering/
Agriculture/ Veterinary/
Medical Sciences/
Science
Faculties of
Languages/ Arts/
Humanities/ Social
Sciences/Library/Manag
ement
Maximum
Points
20/each
10/each
Participation and
Presentation of
research papers
Participation and
Presentation of
research papers
(oral/poster) in
(oral/poster) in
a)International
Conference
a)International
Conference
10/each
b) National
b) National
7.5/each
c) Regional/State level
c) Regional/State level
5/each
d) Local-University/
College level
d) Local-University/
College level
3/each
(a) International
(a) International
10/each
5/each
No of
Research
Papers
Self
Assesse
d Score
Score
verified
by
Screening
Committe
e
TOTAL
________________________
(Signature of the Candidate)
Page 13 of 16
(Annexure II)
TOTAL API SCORE AND
WEIGHTAGE SCORE OUT OF 40 FOR SCREENING COMMITTEE CRITERIA:
Research Performance based on API Score and Quality of Publications
APIs
Category
III (A)
III (B)
III (C)
Research Projects
III (D)
III (E)
Total Self
Assessed
SCORE
Total
Score out
of 40
Verified by
the Screening
Committee
TOTAL
________________________
(Signature of the Candidate)
Date:.....................................
2. -----------------------------------------------------------------------------
3. -----------------------------------------------------------------------------
4. ----------------------------------------------------------------------------Date:_________________
Page 14 of 16
4
5
Criteria
Academic Record and Research
Performance
Academic Background
Research Performance based on
API Score and Quality of
Publications
Assessment of Domain
Knowledge and Teaching Skills
Interview Performance
TOTAL
20
40
20
40
30
20
20
20
100
20
100
20
100
1. Academic Record/Background (Score: Assistant Professor 50; Assoc. Prof. and Professor 20): For Academic Record/Performance there shall be Three Categories as follows:
Category I: 45.0% - 54.9% or OGPA 4.5 5.4 on 10 Point Grade Scale
Category II: 55.0% - 64.9.0% or OGPA 5.5 - 6.4
Category III: 65.0 % or OGPA 6.5
CGPA shall be considered only in such cases where the Mark-sheet (Transcript) provides CGPA.
Page 15 of 16
SN
1
2
2A
3
4
5
Certificate/Degree/National
Tests
High School
Intermediate
OR Higher Secondary only*
(in lieu of High School &
Intermediate)
Undergraduate (BA/
B Sc/B Com)
Post Graduate (MA/M Sc/
M Com)
Ph.D.**
Categories*
II
Astt.
Assoc
Prof
Prof/Prof
(50)
(20)
5
1.5
6
1.5
Astt.
Prof
(50)
4
5
Assoc
Prof/Prof
(20)
1
1
11
10
12
5
III
Astt.
Prof
(50)
6
7
Assoc
Prof/Prof
(20)
2
2
13
12
14
14
18
..
Page 16 of 16